NPP Reporting and Claim Form Line 24J

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August 23, 2018

Question:
How do we know whether to put the NPP (PA or NP) or physician NPI number in box 24J on the claim form?

Answer:
When services are reported using the Direct billing method, the NPI of the provider performing the services places their NPI number in box 24J.  When services are reported Incident-to, whether performed by an NPP or ancillary staff, box 24J should show the name of the supervising provider.

*This response is based on the best information available as of 08/23/18.

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